DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JODIE ELIZABETH WALLACE, RD

Active

JODIE ELIZABETH WALLACE, RD is a Registered Dietitian healthcare provider located in ANTIOCH, California. NPI 1316429939 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · ANTIOCH, CA

Registration Details

NPI Number
1316429939
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2018 (7.7751412401633 yrs)
Last Updated
Aug 30, 2018
License
86100110 (CA)

Practice Information

Address
4501 SAND CREEK RD
ANTIOCH, CA, 945318687
Browse CA providers · Browse ZIP 94531
Phone
9258137600
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in ANTIOCH, CA

Name Credential NPI
MRS. JOAN K VATTUONE R.D. 1124182563
MS. ANNE L SANTORO RD 1053465435
MS. SUZANNE DENISE WIMMER R.D. 1851447940
MS. MARGARET T PAGADUAN MS, RD 1609055060
MRS. SHEA N CHUA RD 1124277785
MS. NICAELA CATHERIN FUNG RD 1811436173
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.